Endometriosis Scarring—A Potential Etiology for Spontaneous Hemoperitoneum in Pregnancy

Kollikonda S, Swapna Kollikonda, Chavan M, Monica Chavan
Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC · 2021 · vol. 43(8) , pp. 998–1000 · doi:10.1016/j.jogc.2021.03.013 · PMID:33798766 · W3142623913
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This paper explores endometriosis scarring as a potential cause for spontaneous hemoperitoneum, a condition of blood in the abdominal cavity, occurring during pregnancy.

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Abstract

BackgroundEndometriosis is a common condition characterized by the accumulation of dense adhesions and scar tissue around the pelvic organs, which can lead to complications. Disruption of endometriotic scar tissue is rare but can lead to spontaneous intraperitoneal hemorrhage in pregnancy.CaseWe present the case of a patient admitted for signs of labour at 40 weeks gestation. At emergency cesarean delivery for cord prolapse, the patient was found to have a massive intraperitoneal bleed. Mechanical disruption of endometriotic scar tissue during positioning for an epidural may have been the precipitating event, as the symptoms of spontaneous hemorrhage, including hypotension and pain, appeared immediately afterward.ConclusionWithout the cord prolapse, cesarean delivery would have been delayed and the spontaneous hemorrhage might have been missed. This case report alerts obstetricians to have a high index of suspicion for spontaneous hemorrhage in pregnant patients with a history of advanced-stage endometriosis, as this event can be life-threatening to mother and baby.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Endometriosis Labor, Obstetric Cesarean Section Cicatrix Cicatrix Female Hemoperitoneum Hemoperitoneum Hemoperitoneum Humans Pregnancy

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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